For Canadians eager for an impetus against the coronavirus, this week brought both optimism and words of sober caution.
The federal government on Wednesday announced the first of many major offers to buy vaccines from two US-based multinational pharmaceutical companies: Pfizer and Moderna.
There will be “millions” of doses, said Anita Anand, the cabinet minister responsible for the deal, at a news conference. She did not provide any further details. But she and another cabinet minister said the government was negotiating deals with other fax makers, including some in Canada.
The catch in all this is that neither Pfizer nor Moderna, nor anyone else, actually has a proven vaccine. The situation is similar to what happened to the Salk polio vaccine in the mid-fifties. When I wrote in last week’s newsletter to speed up that vaccine, I gambled and placed a bulk order to begin production at Connaught Laboratories before studies on patients proved it to be safe and effective.
Connaught, which played a crucial role in bringing the Salk vaccine into production, was then the only game in Canada. This time, many more companies are trying to get the vaccine for coronavirus. The World Health Organization counts 28 possible vaccines that are currently being investigated. Many more, including some Canadian candidates, are in earlier stages.
To guide the purchase of faxes, as well as its investments in Canadian faxes and fax production, the federal government has approached a panel of experts with backgrounds in science, medicine, public health, and fax manufacturing.
As bets go, choosing Pfizer and Moderna is relatively conservative. Late last month, both companies began the first large-scale studies of their candidate faxes in the United States.
[Read: Moderna and Pfizer Begin Late-Stage Vaccine Trials]
Assuming all goes well, Ms. Anand said, the first deliveries should appear next year.
But earlier this week, Dr Theresa Tam, Canada’s chief of public health, warned against too many assumptions about the power of vaccination to end the current pandemic.
At this point, she said, faxes are not “the solution to the silver bullet.”
She said that many vaccines for other viruses only reduce the effects of infection; they do not prevent it.
As a result, she said, public health officials are working on the assumption that many of the measures now in place will be up for two years.
Reggie Lo, a professor emeritus at the University of Guelph focusing on vaccine development, told me this week that the first candidates for vaccine, who may not be the most effective, may be by the end of the year. appearing, but imposing scaled-up billions on their production will be a formidable challenge.
He also claims that, with the exception of smallpox, other deadly viruses have not been removed for decades from vaccination.
“The public needs to ‘deal with this forever,'” he said. Lo in an email. “Anyone who thinks the epidemic is over with the development of a vaccine has not understood the enormity of the problem.”
Last week’s newsletter asked former Prime Minister Paul Martin to call me. His father, also Paul Martin, was, as Federal Minister of Health, the key player in the Canadian invasion and participation in the development of the Salk vaccine.
The younger Mr. Martin, who as a child was infected with polio, had a memory of that time capturing the uncertainty about vaccines.
The coronavirus breaks out>
Frequently Asked Questions
Updated August 6, 2020
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Why are bars linked to outbreaks?
- Think about a bar. Alcohol flows. It may be loud, but it’s perfectly intimate, and you often have to pull close to hear your friend. And strangers have way, way less reservations about arriving at people in a bar. That’s kind of the point of a beam. Feeling good and close to strangers. It is therefore no surprise that bars have been linked to outbreaks in several states. Louisiana health officials have linked at least 100 cases of coronavirus to bars in the Tigerland nightlife district of Baton Rouge. Minnesota has 328 recent cases to track around the state. In Idaho, health officials close down bars in Ada County after reporting clusters of infections among young adults who visited several bars in Boise downtown. Drivers in California, Texas and Arizona, where cases of coronavirus have increased, have lined up hundreds of newly opened bars to close. Less than two weeks after Colorado’s bars were re-restricted with limited capacity, Gov. Jared Polis has closed.
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I have antibodies. Am I immune now?
- At the moment, that probably seems like at least several months. There have been horrific accounts of people suffering what appears to be a second bolt of Covid-19. But experts say these patients may have a prolonged course of infection, with the virus taking a slow toll weeks to months after initial exposure. People infected with the coronavirus typically produce immune molecules called antibodies, which are protective proteins made in response to an infection. These antibodies may only last two to three months in the body, which may seem worrying, but that is perfectly normal after an acute infection progresses, said Dr. Michael Mina, an immunologist at Harvard University. It could possibly get the coronavirus back up, but it is highly unlikely that it would be possible in a short window of time from initial infection or the second time safe.
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I am a small business owner. Can I get relief?
- The incentive letters introduced in March offer help to the millions of American small businesses. Those eligible for assistance are non-profit companies and organizations with less than 500 workers, including sole proprietorships, independent contractors and freelancers. Some larger companies in some sectors are also eligible. The assistance provided, which is managed by the Small Business Administration, includes the Paycheck Protection Program and the Economic Damage Disaster Program. But many people have not yet seen benefits. Even those who have received help are confused: the rules are draconian, and some are stuck on money they do not know how to use. Many small business owners get less than they expected or heard nothing at all.
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What are my rights if I am worried about returning to work?
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What will school look like in September?
- It is unlikely that many schools will return to a normal schedule this fall, requiring grinding online learning, probationary childcare and stunted workdays to continue. California’s two largest public school districts – Los Angeles and San Diego – said on July 13 that instruction will be remote only in the fall, citing concerns that growing coronavirus infections in their areas pose too great a risk to students and teachers. Together, the two districts enroll about 825,000 students. They are the largest in the country to date to abandon plans for even a partial physical return to classes when they reopen in August. For other districts, the solution will not be an all-or-nothing approach. Many systems, including the nation’s largest, New York City, are hybrid plans to spend some days in classrooms and other days online. There is no national policy yet, so check regularly with your municipal school system to see what is happening in your municipality.
His father, he said, was most favorable at home. But one afternoon in 1955, when Mr. Martinus was going to his library, his father was unusually distracted and testy. He was told he would go to his mother.
From them, Mr. Martin learned that his father had to deal with perhaps the most difficult decision of his life: whether or not he would continue with plans to vaccinate Canada. A batch of faxes made by Cutter Laboratories, an American company, was found to be defective and affected 40,000 children. About 200 of them were left paralyzed, and 10 died.
As a result, the United States stopped polio vaccination for several months, a decision that led to infections, deaths and paralysis. Finally, the older Mr. Martin was convinced that Connaught’s vaccine was safe, and Canada continued its impetus without incident.
The stakes, if anything, are now greater because the world is rushing to produce a vaccine for coronavirus. We can all be called upon to have patience and realistic expectations.
Trans Canada
A Windsor, Ontario resident, Ian Austen was raised in Toronto, lives in Ottawa and has been reporting on Canada for the past 16 years for The New York Times. Follow him on Twitter at @ianrausten.
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